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EAPG 204

Level I Hysterectomy And Myomectomy Procedures

Reported by 13 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$226

Average

$3.5k

Median

$2.8k

High

$11.2k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$1.4k$1.4k$1.4k$1.4k—
2Naples HMA LLCFL 34114, FL$2.7k$2.8k$2.8k$3.1k$129
3Triad of Alabama LLCAL 36305, AL$2.7k$2.7k$2.7k$6.1k—
4QHG of Enterprise IncEnterprise, AL$2.7k$2.7k$2.7k$5.5k—
5Crestview Hospital CorporationCrestview, FL$2.7k$2.8k$2.8k$3.1k$127
6HMA Santa Rosa Medical Center LLCMilton, FL$2.7k$2.8k$2.9k$3.1k$140
7The George Washington University HospitalWashington, DC—$11.2k$11.2k—$1.5k
8Wellington Regional Medical CenterWellington, FL—$2.7k$2.8k—$179
9Manatee Memorial HospitalBradenton, FL—$2.9k$2.9k—$186
10St. Mary's Regional Medical CenterEnid, OK—$218$226—$37
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